The Complications and Their Management after Endovascular Aneurysm Repair for the Treatment of Abdominal Aortic Aneurysms

ABSTRACT

The management of abdominal aortic aneurysms has dramatically changed since the endovascular aneurysm repair (EVAR) procedure was introduced in 1991 for the treatment of abdominal aortic aneurysm (AAA). EVAR is a less invasive alternative as compared to conventional open repair for abdominal aortic aneurysms. The use of EVAR has increased and is used in fit patients provided that they are regarded as anatomically suitable for a device. Endovascular repair has been shown to decrease the early mortality rate, shorten the hospital stay and decrease blood loss. However, EVAR has a higher rate of graft-related complications and fewer systemic complications. So, the patients who are treated by EVAR need close follow up and diligent graft surveillance. This review of endovascular complications will help physicians gain a thorough understanding of the complications and appropriate managements strategies of AAA.